Active NPI
Moscow Charter School
- Speech-Language Pathologist
- Moscow, ID
National Provider Identifier
1669734042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- MOSCOW CHARTER SCHOOL
- Practice address
- 1723 E F Street
Moscow, ID 83843-9571 - Phone
- (208) 883-3195
- NPI assigned
- Jun 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon Lynn Dunn
- Title
- Business Manager
- Phone
- (208) 883-3195
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1723 E F Street
Moscow, ID 83843-9571
Mailing address
1723 E F St
Moscow, ID 83843-9571
National Provider Directory
National Provider Directory- Tax ID family
- Moscow Charter School
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Moscow, ID
- NPI 1508195173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339459200000",
"number": "1669734042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1723 E F ST",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838439571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1723 E F STREET",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838439571",
"telephone_number": "208-883-3195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSCOW CHARTER SCHOOL",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-12",
"last_updated": "2012-06-12",
"status": "A",
"authorized_official_last_name": "DUNN",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "208-883-3195"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.